Individual
BRYAN KECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 GREENTREE RD STE B, CHERRY HILL, NJ 08003-1115
(856) 424-0993
Mailing address
7 GRANDE BLVD, DELRAN, NJ 08075-1351
(610) 442-8495
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00317200
NJ
Other
Enumeration date
12/20/2015
Last updated
12/20/2015
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